2025 ICD-10-CM code H11.42
(Active) Effective Date: N/A Disorders of conjunctiva - Other conjunctival vascular disorders and cysts 7. Diseases of the eye and adnexa (H00-H59) Feed
Conjunctival edema.
Medical necessity for treatment of conjunctival edema is established by the presence of signs and symptoms affecting the patient's vision, comfort, or ocular health. Treatment is aimed at alleviating these symptoms and preventing potential complications. The underlying cause of the edema often dictates the specific treatment approach.
Diagnosis and treatment of conjunctival edema falls under the purview of ophthalmologists and optometrists. They are responsible for assessing the cause, severity, and impact of the edema on the patient's vision and ocular health.They also determine the appropriate course of treatment, which might include addressing underlying conditions, prescribing medications, or recommending supportive measures to alleviate symptoms.
In simple words: Swelling of the conjunctiva, the membrane that lines the inside of the eyelids and covers the white part of the eye.
Conjunctival edema
Example 1: A patient presents with swollen, puffy eyelids and reports blurry vision. Upon examination, the conjunctiva appears edematous and inflamed. The physician diagnoses allergic conjunctivitis as the underlying cause of the edema and prescribes antihistamine eye drops., A patient with a history of thyroid eye disease experiences worsening eye bulging and redness. Examination reveals significant conjunctival edema and chemosis. The physician adjusts the patient's thyroid medication and recommends cool compresses to manage the edema., Following eye surgery, a patient develops mild conjunctival edema. The physician monitors the edema, which resolves spontaneously without intervention within a few days.
Documentation for conjunctival edema should include a description of the appearance of the conjunctiva (e.g., degree of swelling, color, presence of any discharge), associated symptoms reported by the patient (e.g., blurred vision, discomfort, foreign body sensation), any identified underlying causes, and the treatment plan.
** Excludes1: keratoconjunctivitis (H16.2-)
- Specialties:Ophthalmology, Optometry
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital